Active NPI
Gi Liver Diagnostics, L.L.C.
- Specialist
- Brooklyn, NY
National Provider Identifier
1295752285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 195950
- Legal business name
- GI LIVER DIAGNOSTICS, L.L.C.
- Practice address
- 829 57TH St
2ND Floor
Brooklyn, NY 11220-3617 - Phone
- (718) 871-2511
- Fax
- (718) 871-0062
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly Chin, M.D.
- Title
- Doctor
- Phone
- (718) 871-2511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 195950 | NY | Primary |
Addresses
Primary practice location
829 57TH St
2ND Floor
Brooklyn, NY 11220-3617
Mailing address
93 Brown Cir
Paramus, NJ 07652-5203
Phone (718) 871-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01774758 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
829 57th St
#2
Brooklyn, NY 11220
Phone (718) 871-2511
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1922028067
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1649289273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1295752285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 BROWN CIR",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525203",
"telephone_number": "718-871-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 57TH ST",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203617",
"telephone_number": "718-871-2511",
"fax_number": "718-871-0062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GI LIVER DIAGNOSTICS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "CHIN",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "718-871-2511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "195950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01774758",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.